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F0887
E

Failure to Offer and Document COVID-19 Vaccine Booster for Residents

Columbia, South Carolina Survey Completed on 09-11-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that four residents were offered the COVID-19 vaccine booster, as required by both facility policy and CDC recommendations. Record reviews revealed that for these residents, either the COVID-19 vaccination status was listed as 'pending consent' without further documentation, or there was no information regarding immunization status in the medical record. Care plans for these residents indicated a risk for infections and a need for vaccinations, but there was no evidence that education about the COVID-19 vaccine or an offer to receive the booster was provided or documented. Interviews and policy reviews confirmed that the facility was responsible for tracking and documenting vaccination status, including providing education about the benefits and risks of the vaccine. The administrator acknowledged that frequent turnover in the infection preventionist role contributed to the failure to identify and offer COVID-19 immunizations or boosters to the affected residents. There was no documentation in the records of these residents indicating that they or their representatives had been informed or given the opportunity to consent to the vaccine.

See complete original report
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